198796 06/22/2011 CITY OF CARMEL, INDIANA VENDOR: 361874 Page 1 of 1
ONE CIVIC SQUARE V T R, INC
CARMEL, INDIANA 46032 PO BOX 501585 CHECK AMOUNT: $795.00
INDIANAPOLIS IN 46250 CHECK NUMBER: 198796
CHECK DATE: 6122/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1096 4350000 7964 795.00 EQUIPMENT REPAIRS M
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Fax 317 722 -1986
P.O. Box 501585, Indianapolis IN 46250_
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ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice of bill to be properly itemized must show; kind of service, where performed, dates service rendered, by
whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc.
Payee
Purchase Order No.
361874 VTR, Inc. Terms
P.O. Box 501585 Date Due
Indianapolis, IN 46250
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO Amount
5/9/11 7964 Vinyl repairs on fitness equipment 28393 795.00
Total 795.00
1 hereby certify that the attached invoice(s), or bill(s) is (are) true and correct and I have audited same in accordance
with IC 5- 11- 10 -1.6
20_
Clerk- Treasurer
i
Voucher No. Warrant No.
361874 VTR, Inc. Allowed 20
P.O. Box 501585
Indianapolis, IN 46250
In Sum of
795.00
ON ACCOUNT OF APPROPRIATION FOR
109 Monon Center
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1096 -21 7964 4350000 795.00 1 hereby certify that the attached invoice(s), or
bill(s) is (are) true and correct and that the
materials or services itemized thereon for
which charge is made were ordered and
received except
16 -Jun 2011
Signature
795.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund